Conversations I Wish I Had

Resident Duty Hours….Forcing a Paradigm Shift in Surgical Education?

A Monthly Digest of News and Hot Topics on Surgical Education

by Kevin Lachapelle MD, FRCSC

I had a discussion over lunch recently with a few staff surgeons from General Surgery and after the usual pleasantries , the conversation shifted to resident “call”. Well, with the 16 hour rule , there is no longer Call, but a shift to “shift work” to comply with the 16 hour regulation. A regulation supported by the Canadian Charter of  Rights and Freedoms. This change in paradigm has created  significant challenges for Residents and Staff and patients especially at a time when surgical specialities are being forced to cut the number of Carms positions. I do want to know your opinion on how this change in coverage and clinical exposure  has effected residents, Staff, and patients. During our conversation at lunch, we highlighted a number of problems which we have noticed:

1) Services frequently over staffed during the day but cross-covered at night by a…

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This entry was posted on December 2, 2014 by .
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